• 제목/요약/키워드: Chart review

검색결과 505건 처리시간 0.027초

과체중 또는 비만인 다낭성 난소 증후군 환자의 체중감량을 위한 가미태음조위탕의 활용: 후향적 차트 리뷰 (Gamitaeeumjowee-tang for Weight Loss in Overweight and Obese Women with Polycystic Ovary Syndrome: A Retrospective Chart Review)

  • 박민정;김은주;옥지명;최가혜;임영우
    • 한방비만학회지
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    • 제22권2호
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    • pp.136-146
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    • 2022
  • Objectives: The objective of this study is to evaluate weight change and analyze adverse events in overweight and obese women with polycystic ovary syndrome (PCOS) who were prescribed with Gamitaeeumjowee-tang. Methods: A retrospective chart review was conducted for medical records of patients with PCOS, who were administered with Gamitaeeumjowee-tang for a period of 12 weeks between January 2019 and December 2021. Outcomes were total weight loss/weight loss rate, the percentage of patients who lost more than 5% and 10% of their baseline weight. Adverse events (AEs) reported by patients were evaluated by severity, causality and system-organ classes. Results: A total of sixty-seven patients were included (mean±standard deviation, Age 28.78±5.25 years, weight 76.78±12.84 kg, body mass index 29.2±4.26 kg/m2). The average total weight loss in PCOS patients was 6.57±3.07 kg and the average weight loss rate was 8.55±3.65%. The percentage of patients with more than 5% and 10% weight loss compared to their baseline weight was 86.56% and 25.37% respectively. The analysis of adverse events are as follows: Causality assessment with World Health Organization-Uppsala Monitoring Centre of AEs showed 'Unlikely' was the most common (71.7%) and severity evaluations with Common Terminology Criteria for Adverse Events showed almost all symptoms were mild (98.9%). Conclusions: Gamitaeeumjowee-tang helps to lose weight of PCOS patients, which is overweight or obese, and no serious adverse events have occurred. Additional well-designed clinical studies are recommended.

익기보혈탕과 녹용 복용이 한방병원 외래 환자의 피로 증상과 심박변이도 결과에 미치는 영향: 후향적 차트 리뷰 (Clinical Effectiveness of Ikgibohyeol-tang(Yìqìbǔxuè-tāng) and Deer Antler on Fatigue Symptoms and HRV Results in Outpatients at Korean Medical Hospital: A Retrospective Chart Review Study)

  • 하원정;문상관;이한결;조승연;박성욱;정우상;박정미;고창남;조기호;권승원
    • 대한한의학회지
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    • 제43권3호
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    • pp.139-149
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    • 2022
  • Objectives: This study was designed to investigate the clinical effectiveness of Ikgibohyeol-tang(Yìqìbǔxuè-tāng) granules and Deer antler granules on fatigue symptoms. Methods: This is a 39-patient case series from a retrospective chart review of outpatients who were treated with Ikgibohyeol-tang granules and Deer antler granules at a Kyung Hee University Korean Medicine Hospital (Seoul) between 1st, January 2015 to 1st, August 2021. We reviewed the patients who complained of fatigue and analyzed changes in the degree of discomfort with fatigue and accompanying symptoms and HRV (Heart Rate Variability) score before and after treatment. Results: After taking Ikgibohyeol-tang granules and Deer antler granules, the degree of discomfort with fatigue and accompanying symptoms decreased significantly compared to before taking them. After treatment, Autonomic nervous system activity, Stress resistance, Heart Stability increased, and Stress index, Degree of fatigue decreased significantly. Conclusions: This study showed subjective symptoms and objective indicator (HRV score) were improved by taking Ikgibohyeol-tang granules and Deer antler granules.

과체중 또는 비만을 주소로 내원한 갑상선기능저하증 환자에 대한 가미태음조위탕의 임상적 활용: 후향적 차트 리뷰 (Clinical Application of Gamitaeeumjowee-tang for Overweight or Obese Hypothyroidism Patients: A Retrospective Chart Review)

  • 김민정;원보영;김효진;최가혜
    • 한방비만학회지
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    • 제23권2호
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    • pp.78-85
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    • 2023
  • Objectives: Weight gain is one of the symptoms of hypothyroidism and it could deteriorate thyroid function. Our objectives are to evaluate weight changes and analyze adverse events in overweight and obese women with hypothyroidism who were prescribed Gamitaeeumjowee-tang. Methods: A retrospective chart review was conducted using medical records of patients with hypothyroidism, who had body mass indexes (BMI) above 23 and were prescribed Gamitaeeumjowee-tang for 12 weeks between August 2017 and November 2022. Reported adverse events (AEs) were assessed by severity, causality and system-organ classes. Results: Thirty patients were included (mean±standard deviation, age 46.10±9.94 years, weight 70.52±11.18 kg, BMI 28.30±3.80 kg/m2). The mean total weight loss of hypothyroidism patients was 5.45±2.77 kg, while the mean weight loss rate and mean BMI change were 7.66±3.41% and 2.18±1.07 kg/m2, respectively. Among evaluated causality of adverse events, 'Unlikely' was predominant (80.8%) and severity assessment showed most of the symptoms were mild (91.7%). Conclusions: Gamitaeeumjowee-tang could be an option for hypothyroidism patients, who are overweight or obese, to lose weight and no serious adverse events occurred. Further well-designed clinical studies are recommended.

폐경 후 비만 여성의 체중감량을 위한 가미태음조위탕의 임상적 활용: 후향적 차트 리뷰 (Gamitaeeumjowee-tang for Weight Loss in Post-Menopausal Obese Women: A Retrospective Chart Review)

  • 이윤진;강정인;김윤하;민은채;임영우;김은주
    • 대한한의학회지
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    • 제45권1호
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    • pp.65-79
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    • 2024
  • Objectives: The purpose of this study is to evaluate weight change and analyze adverse events in post-menopausal obese women with Gamitaeeumjowee-tang for weight loss. Methods: A retrospective chart review was conducted for medical records of 115 post-menopausal obese women (body mass index, BMI≥25 kg/m2) who were administered with Gamitaeeumjowee-tang for 12 weeks for the purpose of weight loss. Weight, skeletal muscle ratio and BMI changes were compared before and after the program. Adverse events were evaluated by causality, severity and system-organ classes. Results: A total of 115 patients were included in this study. The average total weight loss in post-menopausal women was 5.72±2.04kg(p<0.001) and the average weight loss rate was 8.06±2.70%(p<0.001). After the 12-week program, the body fat rate was significantly decreased(3.76±2.20%)(p<0.001) and the skeletal muscle ratio was significantly increased(2.07±1.24%)(p<0.001). There were no significant differences in weight loss, skeletal muscle ratio change and body fat rate change depending on the number of hospital visits. Insomnia was frequently reported throughout the period, and no serious adverse events were reported. Conclusions: This study showed the potential that weight management treatment with Gamitaeeumjowee-tang could be a good way to lose weight of post-menopausal obese women without serious adverse events. Continuous well designed clinical studies are needed.

AHP를 이용한 오픈소스 다기능 게시판의 평가 사례연구 (A Case Study on the Evaluation of Open Source Bulletin Board System with Multi-Function by the Analytical Hierarchy Process)

  • 심민재;장성용;이원영
    • 경영과학
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    • 제27권1호
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    • pp.91-105
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    • 2010
  • We proposed and stratified a selection standard model on Open Source Functional Board which could be found in Web. So we could grasp the weight about Performance Evaluation from the viewpoints of planners, developers, and web disigner professional of views. We suggested applying diverse measurement types in case of item which could chart Evaluation Standards on chosen sample boards. In case of item which couldn't do that, we compared and analyzed it by using selective type of 9 point scaling method on professionalists in every sample board. As a result of weight on upper estimate section of evaluation model chart, the order of importance was convenience(0.334), performance(0.333), function(0.240) and design(0.093) respectively. It indicates that there is more weight on performance and convenience which are hard to be structurally modified than designs and functions that are directly shown to the users. Also, it was evident that opposite results came out when using 9-point scale survey and measurement with objective data such as function and performance. The reason is because the surveyed subject can have his or her own subjectivity and bias unlike objective data. However, objectivity of the administrator is also an important factor thus both two perspectives have to be all considered when selecting the bulletin board.

RFID와 UCI 기반의 URN을 활용한 SPMR 설계 (Design of SPMR using URN based UCI with RFID)

  • 장덕성
    • 한국컴퓨터정보학회논문지
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    • 제12권2호
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    • pp.291-297
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    • 2007
  • 환자의 의무 기록을 전국적으로 연결하는 것은 환자의 정확한 정보를 취득하여 의사로 하여금 환자의 증상을 정확히 진단할 때 중요한 사항이다. 환자에 대한 진단 시 시간과 재검사 시간을 줄일 수 있다면, 환자는 신속히 치료될 수가 있기 때문에 모든 국민은 그만큼 더 삶의 질을 높일 수 있을 것이다. 본 연구는 RFID 카드와 디지털화된 의료기록간 연동하여 환자정보를 병원간 공유하기 위한 복합 식별 시스템 디자인에 그 목적을 두고 있다. 식별자와 관련된 기술과 표준, 그리고 UCI와 RFID간 연동관련 선행 연구에 대한 검토 후, SPMR을 디자인 하였다. 이에 의사들은 적시에 적절하게 의료 처치가 가능해 져서 환자들의 고통을 그만큼 경감시킬 수 있게 되었다.

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Online Experts Screening the Worst Slicing Machine to Control Wafer Yield via the Analytic Hierarchy Process

  • Lin, Chin-Tsai;Chang, Che-Wei;Wu, Cheng-Ru;Chen, Huang-Chu
    • International Journal of Quality Innovation
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    • 제7권2호
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    • pp.141-156
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    • 2006
  • This study describes a novel algorithm for optimizing the quality yield of silicon wafer slicing. 12 inch wafer slicing is the most difficult in terms of semiconductor manufacturing yield. As silicon wafer slicing directly impacts production costs, semiconductor manufacturers are especially concerned with increasing and maintaining the yield, as well as identifying why yields decline. The criteria for establishing the proposed algorithm are derived from a literature review and interviews with a group of experts in semiconductor manufacturing. The modified Delphi method is then adopted to analyze those results. The proposed algorithm also incorporates the analytic hierarchy process (AHP) to determine the weights of evaluation. Additionally, the proposed algorithm can select the evaluation outcomes to identify the worst machine of precision. Finally, results of the exponential weighted moving average (EWMA) control chart demonstrate the feasibility of the proposed AHP-based algorithm in effectively selecting the evaluation outcomes and evaluating the precision of the worst performing machines. So, through collect data (the quality and quantity) to judge the result by AHP, it is the key to help the engineer can find out the manufacturing process yield quickly effectively.

호텔링 T2의 이상신호 원인 식별 (Identification of the out-of-control variable based on Hotelling's T2 statistic)

  • 이성임
    • 응용통계연구
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    • 제31권6호
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    • pp.811-823
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    • 2018
  • 호텔링 $T^2$ 통계량에 근거한 다변량 관리도는 공정의 이상상태를 식별하는 통계적 공정관리의 강력한 도구 중 하나이다. 다수의 품질 특성치를 동시에 모니터링하는데 사용된다. $T^2$ 관리도를 통해 이상신호가 탐지된다는 것은 평균 벡터의 변화가 있다는 것을 의미하게 된다. 그러나, 이러한 다변량 통계량의 신호는 이상신호에 대한 원인을 식별하기 어렵게 한다. 이 논문에서는 $T^2$ 통계량을 서로 독립인 항으로 분해한 Mason, Young, Tracy (MYT) 분해에 기반한 원인 식별 방법들을 살펴본다. 또한, R 소프트웨어를 사용하여 사례분석을 하고, 모의실험을 통해 각 절차의 성능을 비교 평가해보고자 한다.

자폐스펙트럼장애(Autism Spectrum Disorder) 소아청소년에서의 과체중 및 비만 연구 - 후향적 의무기록 조사 - (Overweight & Obesity in Children & Adolescents with Autism Spectrum Disorders - Retrospective Chart Review -)

  • 임우영
    • 정신신체의학
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    • 제23권2호
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    • pp.129-135
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    • 2015
  • 연구목적 지난 20년 동안 아동에 있어 과체중(overweight)의 유병률이 증가하였다. 또한 자폐스펙트럼장애(Autism spectrum disorder, ASD)를 진단 받는 아동의 숫자도 매해 증가하고 있다. ASD를 진단받은 아동의 비만(obesity)에 대한 연구가 미국에서는 활발하게 이루어지고 있으나, 한국에서는 많은 연구가 수행되지는 않았다. 따라서 이 연구의 목적은 ASD를 지닌 아동의 과체중 및 비만의 유병률 및 실태를 알아보고자 한다. 방 법 2012년부터 2015년까지의 3세에서 18세 사이의 소아 청소년을 대상으로 대전 건양대학교병원 정신건강의학과 외래에 내원한 소아 청소년 환자의 의무기록을 조사하였다. 각각의 의무기록으로부터 진단적, 의학적, 인구학적 정보를 추출하였다. 신체질량지수인 Body mass index(BMI)는 병원에서 시행하여 의무기록에 기입되어 있는 키와 체중으로 토대로 계산 하였다. 나이와 성별을 보정한 BMI z-score을 사용하였다. 결 과 ASD를 지닌 아동 군에서 ASD를 지니지 않은 군보다 더 높은 BMI 값을 가지고 있으며, 이는 통계적으로 유의하였다(p=0.032). 또한 ASD를 지닌 아동들이 ASD를 지니지 않은 아동에 비해 비교적 더욱 과체중 및 비만인 것으로 나타났다. 유병률에 있어서는 ASD가 있는 아동(35%)이 ASD가 없는 아동(19%)에 비해 과체중 및 비만인 것으로 간주되었다. 결 론 ASD를 지닌 아동과 지니지 않은 대상에 대한 과체중 및 비만에 관한 연구로서, ASD를 지닌 아동이 그렇지 않은 군에 비해 더욱 과체중 및 비만을 지니고 있음을 보여주었다. 향후 ASD 비만에 대한 유발 및 보호인자에 대한 장기적이고 심화된 연구가 필요하겠다.

산후 한약 복용이 간기능에 미치는 영향 : 후향적 차트 리뷰 (Effects of Taking Herbal Medicine of Postpartum Period on Liver Function : A Retrospective Chart Review)

  • 이미주;이혜정;손성세
    • 대한한방부인과학회지
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    • 제36권4호
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    • pp.40-48
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    • 2023
  • Objectives: The purpose of this study is to investigate safety of postpartum herbal medicine by assessing the effect of taking herbal medicine of postpartum period on liver function. Methods: A retrospective chart review was conducted on 167 mothers who underwent liver function tests (LFT) within 3 months before and after childbirth among mothers who gave birth at ○○ Hospital between January 1, 2016 and May 31, 2018. Mothers with abnormally elevated LFT during pregnancy were excluded. Among 167 women, 6 women are herbal-medicine-group took herbal medicine for 5-6 weeks during postpartum period, and 161 patients are general -group who did not take herbal medicine. LFT Variation of Subjects before and after childbirth were compared between the two groups. And subjects who had elevated liver levels above the normal range after delivery were classified separately, the characteristics and causes of changes in liver levels were analyzed, and the presence or absence of drug-induced liver damage was confirmed. Results: Among a total of 167 subjects, there were 5 women in the herbal-medicine-group and 150 women in the general-group who had changes in liver values within the normal range after childbirth. Aspartate transaminase (AST) change before and after childbirth in the herbal-medicine-group was 3.40±1.82, and AST change in the general-group was 2.92±8.59, showing no significant difference between the two groups (p=0.901). Increase of Alanine transaminase (ALT) before and after childbirth in the herbal-medicine-group was 5.60±3.65, and ALT change in the general-group was 8.01±11.81, showing no significant difference between the two groups (p=0.651). There were 12 subjects who had elevated AST, ALT above the normal range after delivery, including 1 in the herbal-medicine-group and 11 in the normal mothers group. Valuation of 1 Subject of the herbal-medicine-group before and after delivery was 17 IU/L of AST and 52 IU/L of ALT. Because results of AST, ALT is under the standard to diagnose to liver damage, she was observed without any treatment. However the cause of AST, ALT elevation was not found in the chart, she was receiving treatment for diabetes and hyperlipidemia. The general-group had an average increase of AST 35.64±22.67 IU/L and ALT 53.00±26.80 IU/L. As a result of analyzing the cause, there were direct causes such as autoimmune hepatitis, chronic hepatitis B, and acute pyelonephritis. Abnormal elevations in liver levels were also found in mothers with hypothyroidism, diabetes, and fever of unknown cause, although they were not direct causes. Conclusions: To investigate the safety of taking herbal medicines, we assess the variation in AST and ALT within 3 months before and after delivery in the herbal-medicine-group and general-group. There was no significant difference between two groups.